Parents' estimate of food allergy prevalence and management in Italian school-aged children
Parents' estimate of food allergy prevalence and management in Italian school-aged children
复制标题
DOI：
10.1111/j.1442-200x.2010.03294.x
复制
发表时间：
2011-08-01
影响因子：
1.4
通讯作者：
Dall'Aglio, Pier Paolo
中科院分区：
文献类型：
--
作者：
Caffarelli, Carlo;Coscia, Alessandra;Dall'Aglio, Pier Paolo
背景：尽管食物过敏的流行率越来越高，但很少有研究评估学龄儿童中感知到的食物引起症状的流行率。关于有食物反应的儿童是如何管理的，也缺乏数据。我们调查了学龄儿童感知食物反应的频率和特征。方法：这项横断面研究包括5-14岁儿童。对900名家长发放标准化的自填式食物反应问卷。结果：有效率为69%。父母对食物过敏反应的终生患病率为10.5%，时点患病率为1.6%。医疗护理包括54%的病例求助于全科医生，37%的病例为自我管理，6%的病例为紧急呼叫，3%的病例为住院治疗。45%的食物反应使用了抗组胺药物，24%使用了局部类固醇，16%使用了口服或肠外类固醇，1.5%使用了肾上腺素。在报告食物反应的儿童中，54%的儿童进行了食物皮肤点刺试验，7.5%的儿童进行了口腔食物挑战试验。结论：学龄儿童家长对食物过敏障碍的认知普遍存在。很少有儿童接受诊断性测试来确定临床上的食物过敏。这是为了避免不必要的限制饮食。应努力培训初级保健医生管理食物过敏儿童。
Background: Despite the increasing prevalence of food allergy, few studies have assessed the prevalence of perceived food-induced symptoms among school-aged children. There is also a paucity of data on how children with food reactions are managed. We investigated the frequency and characteristics of perceived food reactions in school-aged children.Methods: Children aged 5-14 years were included in this cross-sectional study. A standardized self-administered questionnaire on food reactions was handed out to 900 parents.Results: We achieved a response rate of 69%. The lifetime prevalence of parental perceived allergic reactions to food was 10.5%; the point prevalence was 1.6%. Medical care included a call to a general practitioner in 54% of cases, self-management in 37%, an emergency call in 6%, and hospitalization in 3%. Antihistamines were administered in 45% of food reactions, topical steroids in 24%, oral or parenteral steroids in 16%, and epinephrine in 1.5%. In children who reported food reactions, skin prick tests for foods were performed in 54% of cases; the oral food challenge test was performed in 7.5%.Conclusion: Parent perception of food allergic disorders is common in school-aged children. Few children have undergone diagnostic tests to ascertain clinical food hypersensitivity. This is warranted to avoid unnecessarily restricted diets. Efforts should be made to train primary care physicians to manage food-allergic children.